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I N T E R N A T I O N A L L O N G E V I T Y C E N T E R - U S A. THE LONGEVITY REVOLUTION. Rosalyn Carter Institute for Caregiving Americus, Georgia October 24, 2008. THE LONGEVITY REVOLUTION. 30 Years  Advantage  Disabilities  Quality of Life 17% of Increase: 65+.

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Presentation Transcript
slide2
Rosalyn Carter Institute for Caregiving
  • Americus, Georgia
  • October 24, 2008

Inst for Caregiving

the longevity revolution
THE LONGEVITY REVOLUTION
  • 30 Years
  •  Advantage
  •  Disabilities
  •  Quality of Life
  • 17% of Increase: 65+

Inst for Caregiving

the longevity revolution5
THE LONGEVITY REVOLUTION
  • Great Human Achievement
  • But
  • Grave Concerns of Some
  • Economists, Policy-Makers,
  • Politicians and Pundits

Inst for Caregiving

concerns
CONCERNS
  • Can’t Afford Old People
  • Economic Stagnation
  • Intergenerational Conflicts

Inst for Caregiving

some specific challenges
SOME SPECIFIC CHALLENGES
  • Chronic Illness (The New Longevity 65+)
  • Entitlements
  • Ageism

Inst for Caregiving

can we afford old age
CAN WE AFFORD OLD AGE
  • Health and Longevity
  •  Wealth
  • vs.
  • Economic Stagnation

Inst for Caregiving

health wealth
HEALTH  WEALTH
  • Follow the Individual Through Life
  • Silver Industries

Inst for Caregiving

silver industries or the mature market
“SILVER INDUSTRIES”OR THE MATURE MARKET
  • Financial Services
  • Legal Services
  • Healthcare Services
  • Housing and Living Arrangements
  • Travel and Hospitality

Inst for Caregiving

intergenerational conflicts
INTERGENERATIONAL CONFLICTS
  • None
  • U.S.
  • and
  • France

Inst for Caregiving

inadequate attention
INADEQUATE ATTENTION
  • Structural Reform
  • Trained Workforce
  • Health Promotion and Disease Prevention
  • Chronic Disease Management
  • Research and Development
  • Caregiving
  • Drug Safety

Inst for Caregiving

health care expenditures per capita in selected countries 2002
HEALTH CARE EXPENDITURES PER CAPITAIN SELECTED COUNTRIES, 2002

* The U.S has the highest expenditures but the lowest life expectancy and highest infant mortality compared with these 3 countries.

Inst for Caregiving

trained workforce
TRAINED WORKFORCE
  • PEOPLE WANT TO STAY AT HOME AS LONG AS POSSIBLE
  • Paid Home Health Aides
  • Nursing Shortages

Inst for Caregiving

ageism
AGEISM
  • No Minimum Wage for Home Health Aides
  • 9 of 10 Nursing Homes – Do Not Meet Federal Standards for
  • Personnel
  • Clinical Trials – No FDA Requirement to Include Older Persons
  • Post-Marketing – Drug Safety

Inst for Caregiving

art of caregiving
ART OF CAREGIVING
  • FAMILY
  • PAID

Inst for Caregiving

to remain at home
TO REMAIN AT HOME
  • AGING IN PLACE
  • AS LONG AS POSSIBLE
  • BEACON HILL
  • NORCs (5000)

Inst for Caregiving

long term care
LONG TERM CARE
  • ABSENT IN AMERICA
  • GERMANY
  • JAPAN

Inst for Caregiving

the unplanable
THEUNPLANABLE
  • DEMENTIA
  • FRAILTY
  • 40% RISE IN THOSE NEEDING DAILY CARE BY 2020

Inst for Caregiving

slide20
HELP
  • THE FEDERAL FAMILY AND MEDICAL LEAVE ACT
  • 12 UNPAID WEEKS OFF

Inst for Caregiving

record
RECORD
  • MEDICAL – HISTORY
  • EMERGENCY CONTACTS
  • MEDICATIONS
  • INSURANCE FUNDS

Inst for Caregiving

challenge paid caregivers
CHALLENGE PAID CAREGIVERS
  • CERTIFICATION
  • TRAINING
  • PAY AND BENEFITS
  • CAREER LADDER
  • ORGANIZATION
  • DIGNITY

Inst for Caregiving

family challenges
FAMILY CHALLENGES
  • JOBS/CAREER
  • EXHAUSTION
  • RESPITE
  • COST OF PAID HELP
  • OTHER NEEDS AND WANTS

Inst for Caregiving

family paid
FAMILY/PAID
  • MUST WORK TOGETHER

Inst for Caregiving

family paid25
FAMILY/PAID
  • NEED TO UNDERSTAND AND COMMUNICATE
  • WITH EACH OTHER AND WITH
  • DOCTORS AND NURSES

Inst for Caregiving

slide26
BUT
  • BETTER TRAINING
  • AFFORDABILITY

Inst for Caregiving

slide27
CNAs
  • HOME HEALTH AIDES
  • MEDICAID PAY
  • 75 HOURS TRAINING REQUIRED

Inst for Caregiving

different training
DIFFERENT TRAINING
  • CNAs-TRAINING
  • DEMENTIA
  • ELDER ABUSE
  • SOCIALIZATION AND INTERACTION
  • FAMILY
  • NOT SO: HOME HEALTH AIDES

Inst for Caregiving

2006 official poverty data for all people over 65 per individual
2006 OFFICIAL POVERTY DATAFor All People Over 65Per Individual
  • Poverty Line for 65+ Percentage of the 65+ population below the poverty
  • line 9.42%:
  • $9,669/Year or Less
  • About $185/Week or Less
  • About $26/Day or Less
  • Poverty: Percentage of the 65+ Population below 125% of Poverty line: 16.65%:
  • $12,086/Year or Less
  • About $232/Week or Less
  • About $33/Day or Less
  • Poverty: Percentage of the 65+ Population below 150% the poverty line: 22.35%
  • $14,503/Year or Less
  • About $279/Week or Less
  • About $39/Day or Less
  • Source: U.S. Census Bureau 2006 “Official Poverty Tables” accessed August 2007 from http://pubdb3.census.gov/macro/032007/pov/toc.htm. The Census
  • Bureau 2006 Official Poverty Tables are derived from the 2007 Current Population Survey (March Supplement).

Inst for Caregiving

the social security vanishing act what the 2006 cost of living adjustment is up against
THE SOCIAL SECURITY VANISHING ACTWHAT THE 2006 COST-OF-LIVING ADJUSTMENT IS UP AGAINST

Inst for Caregiving

slide31
HUMAN RIGHTS OF OLDER PERSONS
  • YALE LAW SCHOOL

Inst for Caregiving

the future
THE FUTURE
  • BOOMERS: TRANSFORMATIVE BUT AT RISK
  • GENOMICS AND REGENERATIVE MEDICINE

Inst for Caregiving

international longevity center
INTERNATIONAL LONGEVITY CENTER
  • www.ilcusa.org
  • 60 East 86 Street
  • New York, NY 10028

Inst for Caregiving

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